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. 2019 Nov-Dec;35(6):1740–1744. doi: 10.12669/pjms.35.6.974

Table II.

Risk factors for non-impact ACL injury.

For non-impact ACL Injury10 Relevant to stroke Relevant to case report
Genetics
Female Gender Female Gender
Hormonal Concentration Hormonal changes occur after stroke
Increased knee joint laxity Laxity may be evident in patients with flaccidity especially during initial phase of motor recovery after stroke.
Decreased intercondylar notch width
Increased posterior tibial slope
Neurocognitive factors Slow reaction time
Processing speed
Impulsivity
Poor insight
Impaired judgment
Visuo-spatial impairment
Neglect
Slow reaction time secondary to left MCA stroke.
Neuromuscular factors Weakness
Proprioceptive impairment
Spasticity and Limb dystonia
Associated reaction
Co-contraction
Ankle Clonus
Imbalance
Incoordination
Fatigue
Weakness
Imbalance
Ankle Clonus
Prior ACL injury
Extrinsic factors Ground surface, footwear Uneven surface (garden)
Wearing inappropriate shoes (open shoes)